Ch.3 Craven Prep-U

A nurse has an older adult home care client who lives alone with no family nearby. On a recent visit, the nurse notices that his clothes are very loose, and he has difficulty letting the nurse leave when the visit is ending. After talking with him, the nurse learns that he has not been cooking for himself and he can't get to the grocery store easily. What service could the nurse suggest as an immediate response until a long-term plan can be formed? a.) Enroll the client in Meals on Wheels. b.) Have the social worker counsel him. c.) Suggest he go to an assisted living facility. d.) Refer him to the dietitian.

a.) Enroll the client in Meals on Wheels.

What is one way in which nurses can help shape health care reform? a.) Support legislation to improve care. b.) Refuse to participate in organizations. c.) Become a member of a support group. d.) Do their job and do it well.

a.) Support legislation to improve care.

The home health nurse completes the Outcome and Assessment Information Set (OASIS) at the start of home care. This documentation: a.) includes assessment of core items for improving quality of care. b.) ensures that client rights have been reviewed with the client. c.) provides a holistic family approach to end-of-life care. d.) details the physician's treatment orders to be implemented.

a.) includes assessment of core items for improving quality of care. The Outcome and Assessment Information Set (OASIS) is an assessment instrument of core items of a comprehensive assessment that forms the basis for measuring client outcomes for the purpose of improving the quality of care that is provided.

Nursing continues to recognize and participate in providing appropriate, uninterrupted care and facilitate clients' transitions between different settings and levels of care. What would be an example of this continuity of care? a.) the nurse collaborating with other members of the health care team b.) the nurse accompanying the physician on rounds c.) the nurse attending an appointment with the client in some place other than where the nurse works d.) the nurse taking detailed notes on how each client wants to continue care

a.) the nurse collaborating with other members of the health care team

A client is having problems with insurance reimbursement. The home health care nurse discusses the client's need for home health services with the insurance company. What role is the nurse demonstrating? a.) Coordinator of services b.) Advocate c.) Educator d.) Direct care provider

b.) Advocate

The home health care nurse is providing information to a client and family on medication changes. What role is the nurse performing? a.) Coordinator of services b.) Client and family educator c.) Client advocate d.) Caregiver

b.) Client and family educator

Which is a safety deficit? a.) rear-facing car seat for a 1-year-old b.) multiple area rugs in the house of a 95-year-old c.) electrical outlet covers in the house of a 9-month-old d.) safety bars in the shower of an 86-year-old

b.) multiple area rugs in the house of a 95-year-old Multiple area rugs are considered a tripping hazard and should be removed from the house.

Public health nursing is the branch of nursing that: a.) assesses individuals for community care. b.) provides health care for the community. c.) administers care for a defined geographic community. d.) provides primary care to individuals.

b.) provides health care for the community.

The nurse recognizes that the goals established for a client's discharge are more likely to be accomplished when: a.) the physician develops the goals. b.) the client assists in developing the goals. c.) the nurse develops the goals. d.) the multidisciplinary team develops the goals.

b.) the client assists in developing the goals. If the client is involved in establishing the goals, it is more likely that the expected outcomes of the discharge plan will be met. The client may fail to follow the plan if the goals are not mutually agreed on, or are not based on a complete assessment of the client's needs.

A mother of two children has been diagnosed with terminal breast cancer and will be requiring assistance with her own care as well as the care of her children. When planning the client's discharge, the nurse interprets this change in role functioning as: a.) coordination. b.) transition. c.) facilitation. d.) negotiation.

b.) transition.

Community-based care differs from community health and public health nursing care. The best description of community-based care is health care that is: a.) based on the needs of the population to promote the health of the community. b.) provided only within small rural areas to people who live there. c.) centered on acute or chronic health needs of individuals and families living within a specific community. d.) provided in large urban clinics open to anyone who comes in for service.

c.) centered on acute or chronic health needs of individuals and families living within a specific community.

Which phrase best describes continuity of care? a.) focusing on acute care in the hospital b.) providing single-episode care services c.) facilitating transition between settings d.) serving the needs of children

c.) facilitating transition between settings Continuity of care is a process by which health care providers give appropriate uninterrupted care and facilitate the client's transition between different settings and levels of care. The other choices do not describe continuity of care.

Which one of the following roles of the home health care nurse illustrates the role of coordinator of services? a.) educating the client and caregiver about wound care b.) providing certification for home care c.) providing information about community resources d.) providing direct physical care to the client

c.) providing information about community resources

Which therapist is most likely to focus on teaching a client to hold a toothbrush with an adaptive device and brush his teeth? a.) A respiratory therapist b.) A physical therapist c.) A speech therapist d.) A occupational therapist

d.) A occupational therapist An occupational therapist assists physically challenged clients to adapt to limitations and use a variety of adaptive devices and strategies in carrying out activities of daily living. The occupational therapist is the health care professional who will assist the client in using an adaptive device to brush his teeth. A speech therapist assists clients with speaking and swallowing problems. A physical therapist seeks to restore function or prevent further disability after an injury or illness. A respiratory therapist is trained in techniques that improve lung function and oxygenation.

A new nurse is considering a job either in an acute care setting or a home-care setting. Which statement is accurately stated? a.) Clients are encouraged to help each other in the acute care setting. b.) Nurses work more as team members in the home-care setting. c.) Good communication skills is unnecessary in the home-care setting. d.) Clients play a large role in helping themselves in the home-care setting.

d.) Clients play a large role in helping themselves in the home-care setting. n nursing practice in the hospital, physical and mental stabilization is a primary goal for most clients. Needs include physiologic monitoring, complete or partial personal care, exercise, nutritional support, pain management, treatment and medication administration, anticipatory guidance, counseling, and education. Care needs are complex. Because of the trend toward shorter lengths of stay, the client may be discharged before counseling and education are finished.

What is the primary focus of health care today? a.) Care of acute illnesses b.) Care of chronic illnesses c.) Health restoration d.) Health promotion

d.) Health promotion

Nursing students are reviewing information about the changes in the health care industry and the effects on the scope of nursing practice. The students demonstrate understanding of this information when they identify what as having significantly affected the delivery of home health care? a.) emphasis on extensive reimbursement b.) reduced emphasis for self-care c.) decreased expectations of lay care givers d.) advances in technology

d.) advances in technology Advances in medical technologies have allowed clients who were previously required to remain in institutional settings to receive the necessary health care services at home. The increased enrollment in managed care plans is driving health care services out of institutional settings and into the home. The burden of care is shifting to lay caregivers, and individuals are taking greater responsibility for making health care choices.

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning? a.) assessing the client's needs and identifying problems b.) Making home health care referrals c.) developing goals with the client d.) providing client education

d.) providing client education